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<p class="style1">RPA Form No. 1-B <br />
(per R.A. No. 7160)</p>
<p class="style1"><span class="style3"><b><span class="style5">REAL PROPERTY FIELD APPRAISAL &amp; ASSESSMENT SHEET - BUILDING</span>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</b>UPDATE CODE:_________</span></p>
<table width="802" border="1" cellspacing="0" cellpadding="0">
  <tr>
    <td colspan="2">&nbsp;&nbsp;ARP NO.<input name="DOA" type="text" value="" size="45" /> &nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp; PIN &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input name="DOA" type="text" value="" size="45" /></td>
  </tr>
  <tr>
    <td colspan="2">&nbsp;  Owner: &nbsp;&nbsp;
        <input name="DOA2" type="text" value="" size="45" />
    &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Address
    <input name="DOA2" type="text" value="" size="45" /> 
    <br />&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Tel. No.&nbsp;&nbsp;<input name="DOA2" type="text" value="" size="45" /></td>
  </tr>
  <tr>
    <td colspan="2">&nbsp; Administrator<input name="DOA2" type="text" value="" size="41" />&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Address&nbsp;
    <input name="DOA2" type="text" value="" size="45" /> 
    <br />&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Tel. No.&nbsp;&nbsp;<input name="DOA2" type="text" value="" size="45" /></td>
  </tr>
  <tr bordercolor="#FFFFFF">
    <td width="398" bordercolor="#999999"><b>BUILDING LOCATION</b></td>
    <td width="398" bordercolor="#999999">&nbsp;</td>
  </tr>
  <tr>
    <td height="46">No./Street:<input name="DOA2" type="text" value="" size="45" /></td>
    <td rowspan="9" valign="top">&nbsp;
   Building Sketch/Floor Plan:
    <br />(Use additional sheet if necessary)</td>
  </tr>
  <tr>
    <td>Bgy./Dist.:<input name="DOA2" type="text" value="" size="45" /></td>
  </tr>
  <tr>
    <td>Municipality: <input name="DOA2" type="text" value="" size="45" /></td>
  </tr>
  <tr>
    <td>Province/City:<input name="DOA2" type="text" value="" size="45" /> </td>
  </tr>
  <tr>
    <td>LAND REFERENCE ( Where Bldg. is Located)</td>
  </tr>
  <tr>
    <td>Owner: <input name="DOA2" type="text" value="" size="45" /></td>
  </tr>
  <tr>
    <td><p>OCT/TCT. No. 
        <input name="DOA2" type="text" value="" size="15" />
        &nbsp; Survey No.
        <input name="DOA2" type="text" value="" size="15" /><br />
        Lot. No.:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input name="DOA2" type="text" value="" size="15" />
    &nbsp;&nbsp;Blk. No.:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input name="DOA2" type="text" value="" size="15" /></p>    </td>
  </tr>
  <tr>
    <td><strong>TDN/ARP No.</strong></td>
  </tr>
  <tr>
    <td>Area:&nbsp;&nbsp;&nbsp;&nbsp;<input name="DOA2" type="text" value="" size="45" /></td>
  </tr>
</table>

<p>STRUCTURAL CHARACTERISTICS&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(Use additional sheet if necessary)</p>
<p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
1st Floor&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;2nd Floor&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
1st Floor&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;2nd Floor</p>
<table width="940" border="1" cellspacing="0" cellpadding="0">
  <tr>
    <td width="128">Foundation</td>
    <td width="135">&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
    <td width="137">&nbsp;
    <input name="DOA2" type="text" value="" size="18" /></td>
    <td width="138">Windows</td>
    <td width="133">&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
    <td width="141">&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
  </tr>
  <tr>
    <td>Columns</td>
    <td>&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
    <td>&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
    <td>Stairs</td>
    <td>&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
    <td>&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
  </tr>
  <tr>
    <td>Beams</td>
    <td>&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
    <td>&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
    <td>Partition</td>
    <td>&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
    <td>&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
  </tr>
  <tr>
    <td>Truss Framing</td>
    <td>&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
    <td>&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
    <td>Wall Finish</td>
    <td>&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
    <td>&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
  </tr>
  <tr>
    <td>Roof</td>
    <td>&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
    <td>&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
    <td>Electrical</td>
    <td>&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
    <td>&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
  </tr>
  <tr>
    <td>Exterior Walls</td>
    <td>&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
    <td>&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
    <td>Toilet and Bath</td>
    <td>&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
    <td>&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
  </tr>
  <tr>
    <td>Flooring</td>
    <td>&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
    <td>&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
    <td>Plumbing/Sewer</td>
    <td>&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
    <td>&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
  </tr>
  <tr>
    <td>Doors</td>
    <td>&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
    <td>&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
    <td>Fixtures</td>
    <td>&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
    <td>&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
  </tr>
  <tr>
    <td>Ceiling</td>
    <td>&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
    <td>&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
    <td>Others (Specify)</td>
    <td>&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
    <td>&nbsp;<input name="DOA2" type="text" value="" size="18" /></td>
  </tr>
  <tr>
    <td colspan="3">Structural Type :&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input name="DOA2" type="text" value="" size="45" /></td>
    <td colspan="3">Date Constructed :&nbsp;&nbsp;&nbsp;<input name="DOA2" type="text" value="" size="45" /></td>
  </tr>
  <tr>
    <td colspan="3">Bldg. Classification :&nbsp;&nbsp;&nbsp;<input name="DOA2" type="text" value="" size="45" /></td>
    <td colspan="3">Date Completed :&nbsp;&nbsp;&nbsp;<input name="DOA2" type="text" value="" size="45" /></td>
  </tr>
  <tr>
    <td colspan="3">Bldg. Permit :&nbsp;&nbsp;&nbsp;<input name="DOA2" type="text" value="" size="45" /></td>
    <td colspan="3">Date Occupied :&nbsp;&nbsp;&nbsp;<input name="DOA2" type="text" value="" size="45" /></td>
  </tr>
  <tr>
    <td colspan="3">Bldg. Age :&nbsp;&nbsp;&nbsp;<input name="DOA2" type="text" value="" size="45" /></td>
    <td colspan="3">Area of Ground Floor :&nbsp;&nbsp;&nbsp;<input name="DOA2" type="text" value="" size="45" /></td>
  </tr>
  <tr>
    <td colspan="3">No. of Storeys :&nbsp;&nbsp;&nbsp;<input name="DOA2" type="text" value="" size="45" /></td>
    <td colspan="3">Total Bldg. Area : &nbsp;&nbsp;&nbsp;<input name="DOA2" type="text" value="" size="45" /></td>
  </tr>
  <tr>
    <td colspan="6">Actual Use :&nbsp;&nbsp;&nbsp;<input name="DOA2" type="text" value="" size="45" /></td>
  </tr>
</table>
<p>&nbsp;</p>
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